Boundless Edge LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BOUNDLESS EDGE LLC

Practice address

101 W Kirkwood Avenue
Suite 010C
Bloomington, IN 47404

Phone

(812) 225-7634

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael James Paul Block, LCSWNPI 1144033721

Title

Owner

Phone

(812) 225-7634

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael James Paul Block, LCSW

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1144033721
  NPD Authorized official
• Zoe Mulkey, LCSW

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1881489532
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1922804582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474020174",
            "telephone_number": "812-225-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KIRKWOOD AVENUE",
            "address_2": "SUITE 010C",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47404",
            "telephone_number": "812-225-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS EDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-225-7634",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie McCloud Borders, CNS
• Stefany Bostic, RBT
• Marina Bota, MD
• Sarah Elizabeth Botkin, PA-C
• Mary Ann Bough, DC
• Joan H. Bowden, LCSW
• Brandon W Bowdoin, DO
• Melissa J Bower, CCC-SLP
• Chelsey Lynn Bowlen, RBT
• Kristen Bowles-Johnson, O.D.

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.